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Free Test Prep NCLEX-PN Exam Questions (page: 49)

Page 49 of 254
PDF with 1015 Questions

A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day.

Which statement indicates that the client understands the nurse’s teaching about discontinuing the medication?

  1. “I can drink alcohol now that I am decreasing my Xanax.”
  2. “I should not take another Xanax pill. Here is what is left of my last prescription.”
  3. “I should take three pills per day next week, then two pills for one week, then one pill for one week.”
  4. “I can expect to be sleepy for several days after stopping the medicine.”

Answer(s): C

Explanation:

Xanax, like other benzodiazepines, can cause withdrawal symptoms that include agitation, insomnia, hypertension, seizures, and abdominal pain.
The drug must be slowly decreased to prevent withdrawal symptoms.



A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms.

These findings are most consistent with ______________.

  1. wearing clothing that is too small for the child
  2. the child being shaken
  3. falling while learning to walk
  4. parents trying to awaken the child

Answer(s): B

Explanation:

Children who are shaken are frequently grasped by both upper arms.
Symptoms of brain injury associated with shaking include decreased level of consciousness.



A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should ______________.

  1. immediately contact child protective services
  2. provide the mother with literature about child care
  3. consult a therapist to help the mother work out her fears
  4. refer the mother to parenting classes

Answer(s): D

Explanation:

Prevention of child abuse is centered on teaching the parents how to care for their child and cope with the demands of infant care.
Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents’ social contacts and teach about community resources.



Ashley and her boyfriend Chris, both 19-years-old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea.
Her pulse is rapid, and she is hyperventilating.

The nurse should assess Ashley’s level of anxiety as ______________.

  1. mild
  2. moderate
  3. severe
  4. panic

Answer(s): C

Explanation:

The person whose anxiety is assessed as severe is unable to solve problems and has a poor grasp of what’s happening in his or her environment. Somatic symptoms such as those described by Ashley are usually present. Vital sign changes are observed.
The individual with mild anxiety might report being mildly uncomfortable and might even find performance enhanced.
The individual with moderate anxiety grasps less information about the situation, has some difficulty problem- solving, and might have mild changes in vital signs.
The individual in panic demonstrates markedly disturbed behavior and might lose touch with reality.



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